Eydie Villanueva Mathews, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

34003743H Issued in OH

Practice address

44 South Kintner Parkway
Suite B
Sunbury, OH 43074-8708

Phone

(740) 965-0855

Fax

(740) 965-0836

NPI assigned

Jan 17, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Premier Dermatology, LLCGroup PAC ID 3577788678, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ohio Premier Dermatology, LLC

  • Dermatology Physician
  • Sunbury, OH
  • NPI 1316233158
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1730365990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SOUTH KINTNER PARKWAY",
            "address_2": "SUITE B",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748708",
            "telephone_number": "740-965-0855",
            "fax_number": "740-965-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SOUTH KINTNER PARKWAY",
            "address_2": "SUITE B",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748708",
            "telephone_number": "740-965-0855",
            "fax_number": "740-965-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "EYDIE",
        "middle_name": "VILLANUEVA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "34003743H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loving Kindness Home Care, LLC
• Wynde S. Madden
• Pamela Joan Mahaffey, DNP, ACNS-BC, RN
• Mahantraj Vision LLC
• Ulrike Jennifer Erika Martin, LISW
• Kimberly McClincy
• Michael Fred McKinley
• Hannah McKown
• Tanya May McLymont-Mitchell, LPCC
• Donna Meadows

• Physician Assistant in Sunbury, OH
• Providers in Sunbury, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.